| NPI | 1477544351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3056392) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704211059) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2015-03-13 |